Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.37 / $298.37 / $315.92	Facility		$298.37	$298.37	$315.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $315.92 / $395.22	Professional		$261.45	$315.92	$395.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $508.75 / $668.13 / $668.13	Professional		$508.75	$668.13	$668.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $668.13	Facility		$375.74	$375.74	$668.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $774.75	Professional		$319.38	$319.38	$774.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.67 / $668.13 / $1,269.45	Professional		$614.67	$668.13	$1,269.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.42 / $1,549.42 / $2,036.13	Facility		$1,549.42	$1,549.42	$2,036.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $298.37 / $298.37 / $298.37	Facility		$298.37	$298.37	$298.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $315.92 / $451.52	Professional		$261.45	$315.92	$451.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $452.50 / $911.20 / $1,316.30	Professional		$452.50	$911.20	$1,316.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $668.13	Facility		$375.74	$375.74	$668.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $774.75	Professional		$319.38	$319.38	$774.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $462.01 / $462.01 / $635.94	Facility		$462.01	$462.01	$635.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $462.01 / $635.94 / $635.94	Professional		$462.01	$635.94	$635.94
United Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $396.42 / $668.13	Professional		$311.95	$396.42	$668.13